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Answer: TPN can cause hyperglycemia, so blood glucose levels should be closely monitored. Because of the hypertonicity of the TPN solution, it must be administered via a central venous catheter. The high glucose and lipids makes the TPN an excellent medium for bacterial growth so administration sets should be changed every 24 hours if the TPN contains lipids. Total Parenteral Nutrition or (TPN feeding)is a method of administration of essential nutrients to the body through a central vein. TPN therapy is indicated to a client with a weight loss of 10% the ideal weight, an inability to take oral food or fluids within 7 days post
surgery, and hypercatabolic situations such as major infection with fever. TPN solutions requires water (30 to 40 mL/kg/day), energy (30 to 45
kcal/kg/day, depending on energy expenditure), amino acids (1.0 to 2.0 g/kg/day, depending on the degree of catabolism), essential fatty acids, electrolytes, vitamins, minerals, and trace elements. These solutions can be adjusted, depending on the presence of organ system impairment or the specific nutritional needs of the client. TPN is usually used in hospital, subacute and long-term care, but it
is also used in the home care settings. The major goals for the patient undergoing total parental nutrition may include improvement of nutritional status, maintaining fluid balance, and absence of complications. Here are four (4) total parenteral nutrition
nursing care plans (NCP) and nursing diagnosis: Imbalanced Nutrition: Less Than Body Requirements
May be related to
Possibly evidenced by
Desired Outcomes
1. Imbalanced Nutrition: Less Than Body RequirementsRecommended ResourcesRecommended nursing diagnosis and nursing care plan books and resources. Disclosure: Included below are affiliate links from Amazon at no additional cost from you. We may earn a small commission from your purchase. For more information, check out our privacy policy.
See alsoOther recommended site resources for this nursing care plan:
More care plans related to basic nursing concepts:
Paul Martin is a registered nurse with a bachelor of science in nursing since 2007. Having worked as a medical-surgical nurse for five years, he handled different kinds of patients and learned how to provide individualized care to them. Now, his experiences working in the hospital is carried over to his writings to help aspiring students achieve their goals. He is currently working as a nursing instructor and have a particular interest in nursing management, emergency care, critical care, infection control, and public health. As a writer at Nurseslabs, his goal is to impart his clinical knowledge and skills to students and nurses helping them become the best version of themselves and ultimately make an impact in uplifting the nursing profession. What would be the priority nursing consideration when caring for a client receiving TPN?Monitor blood glucose levels. Observe for signs of hyperglycemia or hypoglycemia and administer insulin as directed. (Blood glucose levels may be affected if TPN is turned off, if the rate is reduced, or if excess levels of insulin are added to the solution.) Monitor for signs of fluid overload.
Which of these interventions is the priority if the patient will receive total parenteral nutrition TPN and lipids during the acute IBD?During an acute exacerbation of inflammatory bowel disease, a patient is to receive total parenteral nutrition (TPN) and lipids. Which of these interventions is the priority when caring for this client? TPN can cause hyperglycemia, so blood glucose levels should be closely monitored.
When caring for a patient who is receiving TPN?Do's and don'ts of TPN administration
Check the TPN solution against the physician's orders before hanging. Remove TPN solution from the refrigerator 30 minutes to 1 hour before infusing. Inspect the TPN solution for any precipitates or separation before infusing. Use meticulous sterile technique when handling I.V.
What nursing measures must be carried out when a patient is receiving total parenteral nutrition?TPN should be always be administered via a smart pump with infusion safety software. Patients on continuous TPN must have the TPN bags and lines changed every 24 hours. If a patient is on 16 hourly TPN infusions, the bags and lines should be discarded at the end of each infusion.
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What is the priority nursing consideration intervention when caring for a client receiving TPN?
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